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Individual

MOLLY JEAN WOODHALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
3917 S HIGHWAY 97, SAND SPRINGS, OK 74063-3829
(918) 246-5224
(918) 236-4594
Mailing address
2234 W HOUSTON ST STE B, BROKEN ARROW, OK 74012-3519
(918) 259-1888
(918) 251-3725

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4987
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200622050A
OK
Enumeration date
11/11/2015
Last updated
04/29/2025
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